NPI 1609420090
Vancleef Personal Care Homes LLC
Practice location
- Address
- 1060 E County Line Rd STE 3a-328, Ridgeland, MS 39157-1900
- Phone
- (773) 441-1910
- Fax
- (414) 386-7918
Authorised official
- Name
- Jermaine Young
- Title
- Ceo
- Phone
- (773) 441-1910
Registered specialties (4)
Home Health Agency
Primary
In Home Supportive Care Agency
Adult Care Home Facility
Registry record
- NPI
- 1609420090
- Entity type
- Organization
- NPI issued
- 24 Jul 2019
- Record last updated
- 24 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.